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r_ EP1GIt�EERING / RUBUC SERNICES <br /> y���� INSPECTiON REQUEST <br /> e �1�� <br /> Address � `'71��G�"�� �J}� <br /> Contractor /"� i, i��''�,�N�r� <br /> Owner <br /> Da�e l-/�'--�� Permil No. <br /> TYPE C�F INSP[�'TIOIJ HEOUFSTEI� <br /> � '�IDE SEWER <br /> � i:URB/GUTTERlSIDF�".�F! � <br /> J ;il"REET <br /> � �i /� /�//�l/}�� <br /> IFJSPECTION REQUESTED OFJ <br /> ���� <br /> SAPPROVAL PARTIALAPPROVAL � <br /> � � VIOLATION � CORRECTION REQUESTED <br /> _� �_��,ur;;tiuns listed below MUST BE MADE belore woik can be apprr,�_� i <br /> _i Please contact inspector and ariange tor �npoinlment. <br /> .� l'Jas not ;�ble to pFrlorm mspec�i��n <br /> .. �:.GLI �425� ;'_;7�8810 FQR R[INSPEC710N . .. ,..t•� �.. , _ , <br /> //':'l"%�CG'��`-/c�,iTS �,�O c%�✓� C!n///� <br /> ..5, ,. �'�sT�c�z'�?� — S</I�'i'��T <br /> TO C'o��'i�'� o� �c/�i'iftc:_ <br /> G'��,�L'Cf'�'-lG�--yl- SIT�' iJ�',�'.� <br /> ��i�=` �i�.�r��is�� �,, q-io _ o� <br /> � <br />